PubMed Health⌕ Search

Biomedical subjects

L D Shaw

Publications and source records attributed to L D Shaw.

5 recordsLinked to original sources

Reliability of motion palpation procedures to detect sacroiliac joint fixations.

The purpose of this study was to assess the inter- and intraexaminer reliability of the Gillet-motion palpation procedure using 10 qualified chiropractors and 11 patients with a sacroiliac joint problem. Intraexaminer reliability was found to be statistically significant for all agreement scores investigated. Interexaminer reliability was found to be statistically significant for some of the agreement scores investigated but not for others. Severity of the low back problems did not seem to influence intra- or interexaminer agreement scores; however, chiropractor expertise did. High expertise was associated with lower intraexaminer agreement scores than low expertise. This finding is in contradiction with traditional beliefs and reported findings. The gait of the patient group was found to be significantly different from that of normal subjects as noted in an earlier report.

Adult↗

Arizona's newest frontier: health care cost containment.

Fear of cost overruns, fraud and red tape had kept Arizona out of the Medicaid program, the only state to reject it. Financial pressures on the counties finally forced a statewide approach to subsidized health care for the poor. But Arizona still did not embrace Medicaid. Instead it enacted a demonstration program designed not only to serve the poor but to attract the private sector by dint of lower health care costs achieved through competition and a number of other mechanisms. The program became operable on Oct. 1, 1982 and, depending upon its success, may serve as a model of programs to come in other states.

Arizona↗

Difunisal in general practice.

A large-scale, double-blind comparative study was carried out in general practice to assess the relative efficacy and tolerance of difunisal and aspirin in patients suffering from acute painful conditions such as sprains and trains, osteoarthritis, etc. Patients received either 250 mg or 500 mg difunisal twice daily, or 600 mg aspirin 4-times daily for 5 days. The results of subjective assessments of pain relief from the daily records of 1902 patients (967 on diflunisal, 935 on aspirin), and the overall assessment of response by both doctors and patients, showed that diflunisal was significantly better than aspirin. Gastric side-effects were more common and more severe in patients receiving aspirin, and more often led to withdrawal of treatment.

Analgesics↗